Our next questions are about Matrix Model. MM01. Are you familiar with Matrix Model? 1 yes [GO TO QUESTION MM01_1a] 0 no [GO TO QUESTION MEDC01]

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1 II.B Our next questions are about Matrix Model. The National Registry of Evidence-Based Practices and Programs (NREPP) describes Matrix Model as follows: The Matrix Model is an intensive outpatient treatment approach for stimulant abuse and dependence that consists of relapse-prevention groups, education groups, social-support groups, individual counseling, and urine and breath testing delivered over a 16-week period. Patients learn about issues critical to addicti relapse, reive dirti support from a trained therapist, bome familiar with self-help programs, and are monitored for drug use by urine testing. The program includes education for family members affted by the addiction. 01. Are you familiar with Matrix Model? 1 yes [GO TO QUESTION 01_1a] 0 no [GO TO QUESTION MEDC01]

2 II.B _1aa 01_1ab 01_1ac 01_1ad 01_1ae 01_1af 01_1ag 01_1ah 01_1ai 01_1aj 01_1ak 01_1ak_sp 01_1a. How did you and your staff learn about Matrix Model? a. in school b. by attending a seminar, conference, or workshop c. by reading journal articles d. by reviewing the treatment manual e. by finding information on the internet f. by attending a Matrix Institute/Hazelden training g. by working with a consultant h. by discussing it with colleagues and other treatment programs that have experience with it i. through a clinical supervisor or training program j. by participating in research k. Other (please spify):

3 II.B _1b 01_1b. Which of these choices best summarizes your knowledge and experience with Matrix Model? a We are not interested in Matrix Model and do not think it would be efftive in our program. [IF SELECTED, GO TO QUESTION 01_2b] b We have considered Matrix Model but see many pros and cons. [IF SELECTED, GO TO QUESTION 01_3b] c We are planning on using Matrix Model in our program, but we haven t used it yet. [IF SELECTED, GO TO QUESTION 01_4b] d We are using Matrix Model in our program, but we haven t dided whether we are going to make it a permanent part of our program. [IF SELECTED, GO TO QUESTION 01_5b] e We have made Matrix Model a permanent part of our program. [IF f SELECTED, GO TO QUESTION 01_6b] We have used Matrix Model in our program in the past, but don t use it currently. [IF SELECTED, GO TO QUESTION 01_7b]

4 II.B _2ba 01_2bb 01_2bc 01_2bd 01_2be 01_2bf 01_2bg 01_2bh 01_2bi 01_2bj 01_2bj_sp II.B _2c 01_2b. What are the reasons you think Matrix Model would not be efftive in your program? a it isn t consistent with our program s treatment approach and philosophy b it isn t culturally appropriate c it is too structured and we need more flexibility d it hasn t been studied enough with American Indians or Alaska Natives e it doesn t fit well with the other treatments we use in our program f it is too expensive and/or time consuming g we don t have the appropriate staff to do this in our program h the training is too expensive and/or too difficult to access/arrange i some of my staff would refuse to use it j Other (please spify): 01_2c. Do you feel any pressure to use Matrix Model in your program? 1 yes [GO TO QUESTION 01_2d] 0 no [GO TO QUESTION MEDC01]

5 II.B _2da 01_2db 01_2dc 01_2dd 01_2de 01_2df 01_2dg 01_2dh 01_2dh_sp 01_2d. From what sources do you feel this pressure to use Matrix Model in your program? a your clients b your program s clinical staff c your supervisor d tribal/program leadership e state accreditation organization/single State Authorities f Medicaid, Medicare, or other insurance requirements g grant requirements h Other (please spify): [GO TO QUESTION MEDC01]

6 II.B _3ba 01_3bb 01_3bc 01_3bd 01_3be 01_3bf 01_3bg 01_3bh 01_3bi 01_3bj 01_3bj_sp 01_3b. What do you see as the pros of Matrix Model? a. it is consistent with our program s treatment approach and philosophy b. it is culturally appropriate c. the existing research base proves it is efftive d. it is innovative and promotes good practice e. it fits with the expertise and training of our staff f. it ensures consistent and standardized treatment within our program g. it is a billable service h. it can be marketed for political purposes and/or funding requests i. its raises the reputation of our program j. Other (please spify):

7 II.B _3ca 01_3cb 01_3cc 01_3cd 01_3ce 01_3cf 01_3cg 01_3ch 01_3ci 01_3cj 01_3cj_sp II.B _3d 01_3c. What do you see as the cons of Matrix Model? a it isn t consistent with our program s treatment approach and philosophy b it isn t culturally appropriate c it is too structured and we need more flexibility d it hasn t been studied enough with American Indians or Alaska Natives e it doesn t fit well with the other treatments we use in our program f it is too expensive and/or time consuming g we don t have the appropriate staff to do this in our program h the training is too expensive and/or too difficult to access/arrange i some of my staff would refuse to use it j Other (please spify): 01_3d. Do you feel any pressure to use Matrix Model in your program? 1 yes [GO TO QUESTION 01_3e] 0 no [GO TO QUESTION MEDC01]

8 II.B _3ea 01_3eb 01_3 01_3ed 01_3ee 01_3ef 01_3eg 01_3eh 01_3eh_sp 01_3e. From what sources do you feel this pressure to use Matrix Model in your program? a your clients b your program s clinical staff c your supervisor d tribal/program leadership e state accreditation agency/single State Authority f Medicaid, Medicare, or other insurance requirements g grant requirements h Other (please spify): [GO TO QUESTION MEDC01]

9 II.B _4ba 01_4bb 01_4bc 01_4bd 01_4be 01_4bf 01_4bg 01_4bh 01_4bi 01_4bj 01_4bj_sp 01_4b. What do you and your staff like about Matrix Model? a. it is consistent with our program s treatment approach and philosophy b. it is culturally appropriate c. the existing research base proves it is efftive d. it is innovative and promotes good practice e. it fits with the expertise and training of our staff f. it ensures consistent and standardized treatment within our program g. it is a billable service h. it can be marketed for political purposes and/or funding requests i. its use raises the reputation of our program j. Other (please spify):

10 II.B _4ca 01_4cb 01_4cc 01_4cd 01_4ce 01_4cf 01_4cg 01_4ch 01_4ch_sp 01_4c_1 01_4c_2 01_4c. How do you plan on preparing your staff for using Matrix Model? a by attending a seminar, conference, or workshop b by reading journal articles c by reviewing the treatment manual d by reviewing information on the internet e by attending a Matrix Institute/Hazelden training f by working with a consultant g by discussing it with colleagues and other treatment programs that have experience with it h Other (please spify): 01_4c_1. Do you plan on having a member of your staff complete the Matrix Model Key Supervisor Training from the Matrix Institute? 1 yes 0 no 01_4c_2. Do you plan on having your program Certified by the Matrix Institute? 1 yes 0 no

11 II.B _4d 01_4e 01_4d. How will you use Matrix Model in your program? a we will use it exactly how it is described in the manual and/or trainings b we will use the parts of manual we think are most helpful c we will rewrite the manual to make it more culturally appropriate and/or fit better with our overall program d we won t use the manual itself but will use the concepts that are part of the intervention, such as teaching about issues critical to addicti relapse 01_4e. How do you plan on using Matrix Model in your program? a it will be a core component of our program and every client will reive it b it will be used with clients that will be most likely to benefit from it c we haven t dided how we are going to use it in our program

12 II.B _4fa 01_4fb 01_4fc 01_4fd 01_4fe 01_4ff 01_4fg 01_4fh 01_4fi 01_4fj 01_4fk 01_4fk_sp 01_4f. Do you and your staff have any of the following concerns about using Matrix Model in your program? a we are concerned that it isn t fully consistent with our program s treatment approach and philosophy b we are concerned about its cultural appropriateness c we worry that it is too structured and we need more flexibility d we are concerned that it hasn t been studied enough with American Indians or Alaska Natives e we aren t sure if it will fit well with the other treatments we use in our program f we are concerned it is too expensive and/or time consuming to use g we are concerned that we may not have the appropriate staff to implement it efftively h we are concerned that the training is too expensive and/or too difficult to access/arrange i we are concerned that some of our staff would refuse to use it j we have no concerns about it k Other (please spify):

13 II.B _4g II.B _4ha 01_4hb 01_4hc 01_4hd 01_4he 01_4hf 01_4hg 01_4hh 01_4hh_sp 01_4i 01_4g. Do you feel any pressure to use Matrix Model in your program? 1 yes [GO TO QUESTION 01_4h] 0 no [GO TO QUESTION MEDC01] 01_4h. From what sources do you feel this pressure to use Matrix Model in your program? a your clients b your program s clinical staff c your supervisor d tribal/program leadership e state accreditation organization/single State Authority f Medicaid, Medicare, or other insurance requirements g grant requirements h Other (please spify): 01_4i. Are these pressures part of the reason you are considering using Matrix Model in your program? 1 yes 0 no [GO TO QUESTION MEDC01]

14 II.B _5b II.B _5c 01_5b. How long have you used Matrix Model in your program? a less than 6 months b 6 months to 1 year c 2 to 5 years d more than 5 years 01_5c. Did you feel any pressure to use Matrix Model in your program? 1 yes [GO TO QUESTION 01_5d] 0 no [GO TO QUESTION 01_5f]

15 II.B _5da 01_5db 01_5dc 01_5dd 01_5de 01_5df 01_5dg 01_5dh 01_5dh_sp 01_5e 01_5d. From what sources did you feel this pressure to use Matrix Model in your program? a your clients b your program s clinical staff c your supervisor d tribal/program leadership e state accreditation organization/single State Authority f Medicaid, Medicare, or other insurance requirements g grant requirements h Other (please spify): 01_5e. Are these pressures part of the reason you are using Matrix Model in your program? 1 yes 0 no

16 II.B _5fa 01_5fb 01_5fc 01_5fd 01_5fe 01_5ff 01_5fg 01_5fh 01_5fi 01_5fj 01_5fj_spe c 01_5fk 01_5fl 01_5f. What were the other reasons that you and your staff dided to use Matrix Model in your program? a it is consistent with our program s treatment approach and philosophies b it is culturally appropriate c the existing research base proves it is efftive d it is innovative and promotes good practice e it fits with the expertise and training of our staff f it ensures consistent and standardized treatment within our program g it is a billable service h it can be marketed for political purposes and/or funding requests i its use raises the reputation of our program j Other (please spify): k No other reasons l don t know we made this dision before I joined the program

17 II.B _5ga 01_5gb 01_5gc 01_5gd 01_5ge 01_5gf 01_5gg 01_5gh 01_5gh_sp 01_5g_1 01_5g_2 01_5g. How did your staff prepare for using Matrix Model in your program? a by attending a seminar, conference, or workshop b by reading journal articles c by reviewing the treatment manual d by reviewing information on the internet e by attending a Matrix Institute/Hazelden training f by working with a consultant g by discussing it with colleagues and other treatment programs that have experience with it h Other (please spify): 01_5g_1. Did a member of your staff complete the Matrix Model Key Supervisor Training from the Matrix Institute? 1 yes 0 no 01_5g_2. Is your program Certified by the Matrix Institute? 1 yes 0 no

18 II.B _5h 01_5i 01_5h. How do you and your staff use Matrix Model in your program? a we use it exactly how it is described in the manual and/or trainings b we use the parts of manual we think are most helpful c we rewrote the manual to make it more culturally appropriate and/or fit better with our overall program d we don t use the manual itself but use the concepts that are part of the intervention, such as teaching about issues critical to addicti relapse 01_5i. How do you and your staff use Matrix Model in your program? a it is a core component of our program and every client reives it b we use it with clients that will most likely benefit from it

19 II.B _5ja 01_5jb 01_5jc 01_5jd 01_5je 01_5jf 01_5jf_spe c 01_5k 01_5j. How do you evaluate the outcomes of Matrix Model in your program? a staff meetings and discussions b client satisfaction questionnaires c client outcomes surveys and interviews d treatment rord audits/reviews e we haven t evaluated it f Other (please spify): 01_5k. How efftive has Matrix Model been in your program? a not efftive at all b somewhat efftive c very efftive

20 II.B _5l_1 01_5l_2 01_5l_3 01_5l_1. How satisfied are you with Matrix Model? a not satisfied b somewhat satisfied c very satisfied 01_5l_2. How satisfied are your staff with Matrix Model? a not satisfied b somewhat satisfied c very satisfied 01_5l_3. How satisfied are your clients with Matrix Model? a not satisfied b somewhat satisfied c very satisfied

21 II.B _5na 01_5nb 01_5nc 01_5nd 01_5ne 01_5nf 01_5ng 01_5ng_sp 01_5n. How do you monitor your staff s use of Matrix Model in your program? a staff meetings b individual discussions with clinical supervisor c treatment rord audits/reviews d reviews of audio or video rordings of sessions e dirt observation of sessions by clinical supervisor f we haven t monitored our staff s use of Matrix Model g Other (please spify):

22 II.B _5oa 01_5ob 01_5oc 01_5od 01_5oe 01_5of 01_5og 01_5oh 01_5oi 01_5oj 01_5ok 01_5ok_sp 01_5o. Do you and your staff have any of the following concerns about using Matrix Model in your program? a it isn t fully consistent with our program s treatment approach and philosophy b we are concerned about its cultural appropriateness c it is too structured and we need more flexibility in treating our clients d we are concerned that it hasn t been studied enough with American Indians or Alaska Natives e it doesn t fit well with the other treatments we use in our program f it is expensive and/or time consuming g we are concerned that we really don t have the appropriate staff to use it efftively in our program h the training is too expensive and/or too difficult to access/arrange i some of our staff refuse to use it j we have no concerns about it k Other (please spify):

23 II.B _5pa 01_5pb 01_5pc 01_5pd 01_5pe 01_5pf 01_5pg 01_5ph 01_5pi 01_5pj 01_5pj_sp 01_5p. Why are you unsure whether you will make Matrix Model a permanent part of your program? a it isn t consistent with our program s treatment approach and philosophy b it isn t culturally appropriate c it is too structured and we need more flexibility in treating our clients d it hasn t been studied enough with American Indians or Alaska Natives e it doesn t fit well with the other treatments we use in our program f it is too expensive and/or time consuming g we don t have the appropriate staff to do this in our program h the training is too expensive and/or too difficult to access/arrange i some of my staff would refuse to use it j Other (please spify): [GO TO QUESTION MEDC01]

24 II.B _6b II.B _6c 01_6b. How long have you used Matrix Model in your program? a less than 6 months b 6 months to 1 year c 2 to 5 years d more than 5 years 01_6c. Did you feel any pressure to use Matrix Model in your program? 1 yes [GO TO QUESTION 01_6d] 0 no [GO TO QUESTION 01_6f]

25 II.B _6da 01_6db 01_6dc 01_6dd 01_6de 01_6df 01_6dg 01_6dh 01_6dh_sp 01_6e 01_6d. From what sources did you feel this pressure to use Matrix Model in your program? a your clients b your program s clinical staff c your supervisor d tribal/program leadership e state accreditation organization/single State Authority f Medicaid, Medicare, or other insurance requirements g grant requirements h Other (please spify): 01_6e. Are these pressures part or all of the reason you are using Matrix Model in your program? 1 yes 0 no

26 II.B _6fa 01_6fb 01_6fc 01_6fd 01_6fe 01_6ff 01_6fg 01_6fh 01_6fi 01_6fj 01_6fk 01_6fl 01_6fl_spe c 01_6f. What were the other reasons that you and your staff dided to use Matrix Model in your program? a it is consistent with our program s treatment approach and philosophies b it is culturally appropriate c the existing research base proves it is efftive d it is innovative and promotes good practice e it fits with the expertise and training of our staff f it ensures consistent and standardized treatment within our program g it is a billable service h it can be marketed for political purposes and/or funding requests i its use raises the reputation of our program j No other reasons k don t know we made this dision before I joined the program l Other (please spify):

27 II.B _6ga 01_6gb 01_6gc 01_6gd 01_6ge 01_6gf 01_6gg 01_6gh 01_6gh_sp 01_6g_1 01_6g_2 01_6g. How did your staff prepare for using Matrix Model in your program? a by attending a seminar, conference, or workshop b by reading journal articles c by reviewing the treatment manual d by reviewing information on the internet e by attending a Matrix Institute/Hazelden training f by working with a consultant g by discussing it with colleagues and other treatment programs that have experience with it h Other (please spify): 01_6g_1. Did a member of your staff complete the Matrix Model Key Supervisor Training from the Matrix Institute? 1 yes 0 no 01_6g_2. Is your program Certified by the Matrix Institute? 1 yes 0 no

28 II.B _6h 01_6i 01_6h. How do you and your staff use Matrix Model manual in your program? a we use it exactly how it is described in the manual and/or trainings b we use the parts of manual we think are most helpful c we rewrote the manual to make it more culturally appropriate and/or fit better with our overall program d we don t use the manual itself but use key concepts that are part of the intervention, such as teaching about issues critical to addiction and relapse 01_6i. How do you and your staff use Matrix Model in your program? a it is a core component of our program and every client reives it b we use it with clients that are most likely to benefit from it

29 II.B _6ja 01_6jb 01_6jc 01_6jd 01_6je 01_6jf 01_6jf_spe c 01_6k 01_6j. How do you evaluate the outcomes of Matrix Model in your program? a staff meetings and discussions b client satisfaction questionnaires c client outcomes surveys and interviews d treatment rord audits/reviews e we haven t evaluated it f Other (please spify): 01_6k. How efftive has Matrix Model been in your program? a not efftive at all b somewhat efftive c very efftive

30 II.B _6l_1 01_6l_2 01_6l_3 01_6l_1. How satisfied are you with Matrix Model? a not satisfied b somewhat satisfied c very satisfied 01_6l_2. How satisfied are your staff with Matrix Model? a not satisfied b somewhat satisfied c very satisfied 01_6l_3. How satisfied are your clients with Matrix Model? a not satisfied b somewhat satisfied c very satisfied

31 II.B _6oa 01_6ob 01_6oc 01_6od 01_6oe 01_6of 01_6og 01_6og_sp 01_6o. How do you monitor how well your staff uses Matrix Model in your program? a staff meetings b individual discussions with clinical supervisor c treatment rord audits/reviews d reviews of audio or video rordings of sessions e dirt observation of sessions by clinical supervisor f we haven t monitored our staff s use of Matrix Model g Other (please spify):

32 II.B _6pa 01_6pb 01_6pc 01_6pd 01_6pe 01_6pf 01_6pg 01_6ph 01_6pi 01_6pj 01_6pk 01_6pk_sp 01_6p. Do you and your staff have any of the following concerns about using Matrix Model in your program? a it isn t fully consistent with our program s treatment approach and philosophy b we are concerned about its cultural appropriateness c it is too structured and we need more flexibility in treating our clients d we are concerned that it hasn t been studied enough with American Indians or Alaska Natives e it doesn t fit well with the other treatments we use in our program f it is expensive and/or time consuming to use g we are concerned that we really don t have the appropriate staff to use it efftively in our program h the training is too expensive and/or too difficult to access/arrange i some of our staff refuse to use it j we have no concerns about it k Other (please spify):

33 II.B _6qa 01_6qb 01_6qc 01_6qd 01_6qe 01_6qf 01_6qg 01_6qh 01_6qi 01_6qj 01_6qk 01_6ql 01_6ql_sp 01_6q. Why did you dide to make Matrix Model a permanent part of your program? a it is efftive b our clients like it c it is billable d it is consistent with our program s treatment approach and philosophy e it is culturally appropriate f it fits with the expertise and training of our staff g it fits well with the other treatments we use in our program h it is innovative and promotes good practice i it ensures consistent and standardized treatment within our program j it can be marketed for political purposes and/or funding requests k its use raises the reputation of our program l Other (please spify): GO TO QUESTION MEDC01

34 II.B _7b 01_7c II.B _7d 01_7b. How long did you use Matrix Model in your program? a less than 6 months b 6 months to 1 year c 2 to 5 years d more than 5 years 01_7c. How long ago did you stop using Matrix Model in your program? a less than 6 months ago b 6 months to 1 year ago c 2 to 5 years ago d more than 5 years ago 01_7d. Did you feel any pressure to use Matrix Model in your program? 1 yes [GO TO QUESTION 01_7e] 0 no [GO TO QUESTION 01_7g]

35 II.B _7ea 01_7eb 01_7 01_7ed 01_7ee 01_7ef 01_7eg 01_7eh 01_7eh_sp 01_7f 01_7e. From what sources did you feel this pressure to use Matrix Model in your program? a your clients b your program s clinical staff c your supervisor d tribal/program leadership e state accreditation organization/single State Authority f Medicaid, Medicare, or other insurance requirements g grant requirements h Other (please spify): 01_7f. Are these pressures part or all of the reason you used Matrix Model in your program? 1 yes 0 no

36 II.B _7ga 01_7gb 01_7gc 01_7gd 01_7ge 01_7gf 01_7gg 01_7gh 01_7gi 01_7gj 01_7gk 01_7gk_sp 01_7g. What were the other reasons that you and your staff dided to use Matrix Model in your program? a it is consistent with our program s treatment approach and philosophy b it is culturally appropriate c the existing research base proves it is efftive d it is innovative and promotes good practice e it ensures consistent and standardized treatment within our program f it is a billable service g it can be marketed for political purposes and/or funding requests h its use raises the reputation of our program i No other reasons j don t know we made this dision before I joined the program k Other (please spify):

37 II.B _7ha 01_7hb 01_7hc 01_7hd 01_7he 01_7hf 01_7hg 01_7hh 01_7hh_sp 01_7h_1 01_7h_2 01_7h. How did your staff prepare for using Matrix Model in your program? a by attending a seminar, conference, or workshop b by reading journal articles c by reviewing the treatment manual d by reviewing information on the internet e by attending a Matrix Institute/Hazelden training f by working with a consultant g by discussing it with colleagues and other treatment programs that have experience with it h Other (please spify): 01_7h_1. Did a member of your staff complete the Matrix Model Key Supervisor Training from the Matrix Institute? 1 yes 0 no 01_7h_2. Is your program Certified by the Matrix Institute? 1 yes 0 no

38 II.B _7i 01_7j 01_7i. How did you and your staff use Matrix Model in your program? a we used it exactly how it is described in the manual and/or trainings b we used the parts of manual we think are most helpful c we rewrote the manual to make it more culturally appropriate and/or fit better with our overall program d we don t use the manual itself but will use the concepts that are part of the intervention, such as teaching about issues critical to addicti relapse 01_7j. How did you and your staff use Matrix Model in your program? a it is a core component of our program and every client reives it b we use it with clients that are most likely to benefit from it

39 II.B _7la 01_7lb 01_7lc 01_7ld 01_7le 01_7le_sp 01_7lf 01_7m 01_7l. How did you evaluate the outcomes of Matrix Model in your program? a staff meetings and discussions b client satisfaction questionnaires c client outcomes surveys and interviews d treatment rord audits/reviews e Other (please spify): f we didn t evaluate it 01_7m. How efftive was Matrix Model in your program? a not efftive at all b somewhat efftive c very efftive

40 II.B _7l_1 01_7l_2 01_7l_3 01_7l_1. How satisfied were you with Matrix Model? a not satisfied b somewhat satisfied c very satisfied 01_7l_2. How satisfied were your staff with Matrix Model? a not satisfied b somewhat satisfied c very satisfied 01_7l_3. How satisfied were your clients with Matrix Model? a not satisfied b somewhat satisfied c very satisfied

41 II.B _7pa 01_7pb 01_7pc 01_7pd 01_7pe 01_7pf 01_7pg 01_7pg_sp 01_7p. How did you monitor your staff s use of Matrix Model in your program? a staff meetings and discussions b clinical supervision c treatment rord audits/reviews d reviews of audio or video rordings of sessions e dirt observation of sessions by clinical supervisor f we haven t monitored our staff s use of Matrix Model g Other (please spify):

42 II.B _7qa 01_7qb 01_7qc 01_7qd 01_7qe 01_7qf 01_7qg 01_7qh 01_7qi 01_7qj 01_7qk 01_7qk_sp 01_7q. Did you and your staff have any of the following concerns about using Matrix Model in your program? a it wasn t fully consistent with our program s treatment approach and philosophy b we were concerned about its cultural appropriateness c it was too structured and we need more flexibility in treating our clients d we were concerned that it hasn t been studied enough with American Indians or Alaska Natives e it didn t fit well with the other treatments we use in our program f it was too expensive and/or time consuming to use g we were concerned that we really don t have the appropriate staff to use it efftively in our program h the training was too expensive and/or too difficult to access/arrange i some of our staff refused to use it j we had no concerns about it k Other (please spify):

43 II.B _7ra 01_7rb 01_7rc 01_7rd 01_7re 01_7rf 01_7rg 01_7rh 01_7ri 01_7rj 01_7rj_spe c 01_7r. Why did you stop using Matrix Model in your program? a it wasn t efftive for our clients b our clients didn t like it c it was too expensive and/or too time consuming to use d it wasn t fully consistent with our program s treatment approach and philosophy e we were concerned about its cultural appropriateness f it was too structured and we need more flexibility in treating our clients g it didn t fit well with the other treatments we use in our program h we didn t have the appropriate staff to continue to use it in our program i some of our staff refused to use it j Other (please spify): [GO TO QUESTION MEDC01]

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